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"cita" => "Rev Port Pneumol. 2010;16:315-20" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2470 "formatos" => array:3 [ "EPUB" => 243 "HTML" => 1473 "PDF" => 754 ] ] "pt" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Caso Clínico/Case Report</span>" "titulo" => "Pertussis ainda mata" "tienePdf" => "pt" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "pt" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "315" "paginaFinal" => "320" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Pertussis keeps on killing" ] ] "contieneResumen" => array:2 [ "pt" => true "en" => true ] "contienePdf" => array:1 [ "pt" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Joana Freitas, Susana Gama de Sousa, Cristina Miguel, Paula Fonseca" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Joana" "apellidos" => "Freitas" ] 1 => 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array:1 [ "en" => array:1 [ "titulo" => "Massive subcutaneous emphysema – Management using subcutaneous drains" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-07-09" "fechaAceptado" => "2009-09-08" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570143" "palabras" => array:3 [ 0 => "Enfisema subcutâneo" 1 => "dreno subcutâneo" 2 => "tratamento" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570142" "palabras" => array:3 [ 0 => "Subcutaneous emphysema" 1 => "subcutaneous drain" 2 => "management" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">O enfisema subcutâneo é uma complicação relativamente comum na sequência de técnicas invasivas, procedimentos cirúrgicos e algumas patologias médicas. Na maior parte dos casos apenas causa sintomatologia <span class="elsevierStyleItalic">minor</span> e o tratamento é habitualmente conservador. Mesmo quando grave, raramente tem consequências patofisiológicas significativas, apesar de ser extremamente desconfortável para o doente.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Os autores descrevem um caso clínico de enfisema subcutâneo maciço, de rápida instalação, após saída acidental de tubo de drenagem torácica, em doentecom pneumotórax espontâneo secundário e fístula broncopleural. O enfisema foi tratado através da colocação, sob anestesia local, de dois drenos subcutâneos na parede anterossuperior do tórax, conectados a sacos de drenagem. Após a colocação dos drenos subcutâneos verificou-se uma franca melhoria clínica do doente, com descompressão eficaz do enfisema subcutâneo. No presente caso clínico, a técnica de drenagem do enfisema maciço mostrou-se simples, segura e eficaz, permitindo o alívio sintomático imediato.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (2): 321-329</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Massive subcutaneous emphysema is a relatively common complication in invasive techniques, surgical practice and some medical conditions. Subcutaneous emphysema is usually treated conservatively and may only cause minimal symptoms. Even when it is severe, subcutaneous emphysema rarely has pathophysiologic consequences, but it is extremely uncomfortable for the patient.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">The authors report a case of massive and rapid developing subcutaneous emphysema following chest tube displacement in a patient with spontaneous secondary pneumothorax and large air leak. The emphysema was treated with two subcutaneous drains, inserted using local anesthesia, on both sides of the chest (antero-superior thoracic wall), connected to drainage bags. The drains produced a dramatic clinical improvement and provided effective decompression of the subcutaneous emphysema.</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">In this clinical case, the technique of drainage of severe subcutaneous emphysema using subcutaneous drains was safe, easy and effective, affording immediate symptom relief.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (2): 321-329</span></p></span>" ] ] "NotaPie" => array:1 [ 0 => array:3 [ "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara" id="np0005">Serviço de Cirurgia Geral do Hospital de S. 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Original language: Portuguese
Year/Month | Html | Total | |
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2024 November | 3 | 0 | 3 |
2024 October | 85 | 42 | 127 |
2024 September | 90 | 34 | 124 |
2024 August | 135 | 43 | 178 |
2024 July | 103 | 50 | 153 |
2024 June | 147 | 26 | 173 |
2024 May | 114 | 36 | 150 |
2024 April | 101 | 30 | 131 |
2024 March | 97 | 44 | 141 |
2024 February | 68 | 28 | 96 |
2024 January | 108 | 44 | 152 |
2023 December | 95 | 27 | 122 |
2023 November | 108 | 30 | 138 |
2023 October | 140 | 28 | 168 |
2023 September | 74 | 35 | 109 |
2023 August | 60 | 24 | 84 |
2023 July | 67 | 33 | 100 |
2023 June | 51 | 24 | 75 |
2023 May | 73 | 26 | 99 |
2023 April | 51 | 21 | 72 |
2023 March | 63 | 31 | 94 |
2023 February | 29 | 25 | 54 |
2023 January | 25 | 26 | 51 |
2022 December | 24 | 30 | 54 |
2022 November | 58 | 39 | 97 |
2022 October | 32 | 41 | 73 |
2022 September | 20 | 41 | 61 |
2022 August | 41 | 46 | 87 |
2022 July | 28 | 47 | 75 |
2022 June | 23 | 28 | 51 |
2022 May | 46 | 48 | 94 |
2022 April | 29 | 35 | 64 |
2022 March | 34 | 41 | 75 |
2022 February | 38 | 27 | 65 |
2022 January | 44 | 43 | 87 |
2021 December | 33 | 52 | 85 |
2021 November | 31 | 38 | 69 |
2021 October | 27 | 36 | 63 |
2021 September | 28 | 44 | 72 |
2021 August | 20 | 30 | 50 |
2021 July | 36 | 26 | 62 |
2021 June | 17 | 31 | 48 |
2021 May | 32 | 40 | 72 |
2021 April | 74 | 54 | 128 |
2021 March | 43 | 34 | 77 |
2021 February | 51 | 23 | 74 |
2021 January | 38 | 15 | 53 |
2020 December | 38 | 18 | 56 |
2020 November | 45 | 31 | 76 |
2020 October | 27 | 19 | 46 |
2020 September | 66 | 35 | 101 |
2020 August | 62 | 24 | 86 |
2020 July | 78 | 22 | 100 |
2020 June | 46 | 20 | 66 |
2020 May | 62 | 23 | 85 |
2020 April | 73 | 24 | 97 |
2020 March | 70 | 19 | 89 |
2020 February | 38 | 47 | 85 |
2020 January | 53 | 22 | 75 |
2019 December | 61 | 32 | 93 |
2019 November | 65 | 31 | 96 |
2019 October | 54 | 21 | 75 |
2019 September | 53 | 37 | 90 |
2019 August | 85 | 28 | 113 |
2019 July | 97 | 27 | 124 |
2019 June | 112 | 34 | 146 |
2019 May | 91 | 36 | 127 |
2019 April | 98 | 31 | 129 |
2019 March | 153 | 27 | 180 |
2019 February | 130 | 9 | 139 |
2019 January | 123 | 25 | 148 |
2018 December | 68 | 18 | 86 |
2018 November | 28 | 1 | 29 |
2018 October | 30 | 5 | 35 |
2018 September | 17 | 5 | 22 |
2018 August | 47 | 23 | 70 |
2018 July | 38 | 30 | 68 |
2018 June | 42 | 29 | 71 |
2018 May | 41 | 15 | 56 |
2018 April | 66 | 44 | 110 |
2018 March | 36 | 38 | 74 |
2018 February | 29 | 11 | 40 |
2018 January | 28 | 8 | 36 |
2017 December | 25 | 14 | 39 |
2017 November | 32 | 13 | 45 |
2017 October | 24 | 13 | 37 |
2017 September | 18 | 19 | 37 |
2017 August | 24 | 18 | 42 |
2017 July | 15 | 9 | 24 |
2017 June | 24 | 14 | 38 |
2017 May | 33 | 8 | 41 |
2017 April | 13 | 4 | 17 |
2017 March | 24 | 3 | 27 |
2017 February | 12 | 3 | 15 |
2017 January | 16 | 2 | 18 |
2016 December | 13 | 3 | 16 |
2016 November | 8 | 5 | 13 |
2016 October | 10 | 7 | 17 |
2016 September | 4 | 10 | 14 |
2016 August | 6 | 4 | 10 |
2016 July | 4 | 2 | 6 |
2016 May | 5 | 3 | 8 |
2016 April | 1 | 6 | 7 |
2016 March | 6 | 8 | 14 |
2016 February | 10 | 14 | 24 |
2016 January | 6 | 7 | 13 |
2015 December | 9 | 2 | 11 |
2015 November | 3 | 4 | 7 |
2015 October | 4 | 3 | 7 |